Hazelberg, Audra

Hazelberg, Audra is an individual health care provider with primary practice located at 933 Newbury St , Ripon WI 54971-1730. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Hazelberg, Audra can be contacted via phone (920) 748-9138.

Contact Information

Primary practice address
933 Newbury St Ripon WI 54971-1730
Phone: (920) 748-9138
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 11991-24 Wisconsin

Profile Details

NPI number 1326397191
LBN Legal business name Hazelberg, Audra
Credentials PT, DPT
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 7th, 2012
Last updated Sep 7th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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